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Early dynamic splinting for extensor tendon injuries.

E Z Browne1, C A Ribik

  • 1Department of Plastic Surgery, The Cleveland Clinic, Ohio 44106.

The Journal of Hand Surgery
|January 1, 1989
PubMed
Summary
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Early active flexion following extensor tendon repair using a dynamic splinting program can prevent stiffness. This approach allows immediate motion, improving outcomes for extensor tendon injuries.

Area of Science:

  • Orthopedics
  • Hand Surgery
  • Rehabilitation Medicine

Background:

  • Traditional extensor tendon repair involves prolonged immobilization (3-4 weeks).
  • This immobilization can lead to extensor tenodesis and limited finger flexion post-surgery.

Purpose of the Study:

  • To evaluate a dynamic splinting program for extensor tendon repairs.
  • To prevent flexion limitations by enabling early active motion.

Main Methods:

  • A dynamic splinting program with an outrigger was used for 52 patients with extensor tendon injuries.
  • The splint held fingers in extension while allowing active flexion.
  • Rehabilitation commenced 2-5 days post-repair and continued for approximately 5 weeks.

Main Results:

Related Experiment Videos

  • No extensor tendon ruptures were reported during the dynamic splinting program.
  • All 52 patients achieved full finger flexion post-treatment.

Conclusions:

  • Dynamic splinting is a safe and effective method for extensor tendon repair.
  • Early active motion facilitated by dynamic splinting prevents joint stiffness and restores full function.